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Abstract Background Cardiopulmonary resuscitation (CPR) can save a person’s life, but rate of success is low especially in older frail cohort. Attempted CPR is not without harm and many patients long for a natural dignified death. DNACPR orders provide a means by which decisions to withhold CPR /= 6 and 43.4% having known dementia. DNACPR decisions and evidence of communication was documented in 29 patients (96.7%). Ceilings of care were documented in the majority. We also assessed 30 medical notes of community discharged patients (36.7% male, mean age 83, mean LOS 13.86). Pneumonia (33%) was the most common diagnosis. Only 13.3% had DNACPR and ceiling of care documentation. Conclusion Recognition of dying seems good in the department with room for improvement in broader advanced care discussions. Further training on end-of-life conversations is planned with regular simulation sessions.
Saleeh et al. (Sun,) studied this question.